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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DERICK PAGE, PTA

Active Sole Proprietor

MR. DERICK PAGE, PTA is a Occupational Therapist healthcare provider located in CHEYENNE, Wyoming. NPI 1629270624 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · CHEYENNE, WY

Registration Details

NPI Number
1629270624
Provider Type
Individual
Gender
Male
NPI Issued
Jun 1, 2007 (19.159527680658 yrs)
Last Updated
Jul 8, 2007
License
2306001374 (VA)
Sole Proprietor
Yes

Practice Information

Address
1330 PRAIRIE AVE
CHEYENNE, WY, 820094842
Browse WY providers · Browse ZIP 82009
Phone
3077788997
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in CHEYENNE, WY

Name Credential NPI
ZIMRI CHRISTIAN OSELAND III 1578664280
TODD M MOSER PTA 1467671586
DAVID MICHAEL LUNA PTA 1013148642
SARAH BAKER 1447530720
KORBE CHRISTOPHER WADAS 1407131352
MS. AMANDA M KROV PTA 1407106917
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.